Kettering TMC workbook (patient assessment) 2023 questions and answers
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Kettering TMC workbook
Institution
Kettering TMC Workbook
List 4 critical life functions - correct answers Ventilation Oxygenation Circulation Perfusion
What life function is first priority? - correct answers Ventilation
What assessments would determine how well a patient is ventilating? - correct answers -RR
-Vt
-Chest Movement
-Breath Sounds...
Kettering TMC workbook (patient assessment)
List 4 critical life functions - correct answers Ventilation Oxygenation Circulation Perfusion
What life function is first priority? - correct answers Ventilation
What assessments would determine how well a patient is ventilating? - correct answers -RR
-Vt
-Chest Movement
-Breath Sounds
-PaCo2
-EtCO2
How would the therapist determine if a patient has a problem with oxygenation? - correct answers -HR
-Color
-Sensorium
-PaO2/SpO2
What information would help the therapist determine if a patient's circulation is adequate? - correct answers -HR and Strength
-CO
What changes may indicate if a patient doesn't have adequate perfusion? - correct answers -HR
-BP
-Sensorium
-Temperature
-Urine Output
-Hemodynamics Signs are - correct answers objective information - things you can see and measure
-color
-pulse
-edema
-vital signs
symptoms are - correct answers subjective information - things patient tells you
-dyspnea
-pain level
-nausea
-muscle weakness
5 items that are important to review in a patients medical record - correct answers 1. Allergies
2. Signs/Symptoms
3. History
4. Advanced directives
5. HPI
advanced directive - correct answers set of instructions documenting what Tx a patient wants if they were unable to make medical decisions
what are 4 types of advanced directives - correct answers 1. living will - Tx patient wants if became terminally ill; doesn't appoint someone else to make medical decisions
2. DNI order - do not intubate (can ventilate)
3. DNR order - do not resuscitate
4. durable power of attorney - health care proxy; only in affect when patient can't make healthcare decisions A properly written order for respiratory care should include what 4 factors? - correct answers 1. type of treatment
2. frequency
3. medication/dosage
4. physician signature
The respiratory therapist has just finished administering an aerosol treatment with albuterol to a child with asthma. What should be included in documentation of the treatment? - correct answers date, time,
reactions, etc.
respiratory notes
What is the normal value for urine output - correct answers 40mL/hour (approx. 1 liter/day)
What findings might indicate a patients fluid intake has exceeded his urine output? - correct answers weight gain
electrolyte imbalance
increased hemodynamic pressures
decreased lung compliance
Changes in what value can indicate hypovolemia? - correct answers CVP - less than 2
need fluid (IV) therapy
Describe medication reconciliation - correct answers ensuring patients medication list is accurate and up
to date as possible. Must be done within first 24 hours of admission
Semicomatose - correct answers responds to only painful stimuli
lethargic/somnolent - correct answers sleepy
consider sleep apnea, excessive O2 therapy with COPD patients
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